具有脑活动定位功能的脑电图技术,特别是低分辨率电磁断层成像技术(LORETA)及其在精神分裂症监测中的适用性。

EEG Techniques with Brain Activity Localization, Specifically LORETA, and Its Applicability in Monitoring Schizophrenia.

作者信息

Zeltser Angelina, Ochneva Aleksandra, Riabinina Daria, Zakurazhnaya Valeria, Tsurina Anna, Golubeva Elizaveta, Berdalin Alexander, Andreyuk Denis, Leonteva Elena, Kostyuk Georgy, Morozova Anna

机构信息

Mental-Health Clinic No. 1 Named after N.A. Alekseev, Zagorodnoe Highway 2, 115191 Moscow, Russia.

Department of Basic and Applied Neurobiology, V. Serbsky Federal Medical Research Centre of Psychiatry and Narcology, Kropotkinsky per. 23, 119034 Moscow, Russia.

出版信息

J Clin Med. 2024 Aug 28;13(17):5108. doi: 10.3390/jcm13175108.

Abstract

: Electroencephalography (EEG) is considered a standard but powerful tool for the diagnosis of neurological and psychiatric diseases. With modern imaging techniques such as magnetic resonance imaging (MRI), computed tomography (CT), and magnetoencephalography (MEG), source localization can be improved, especially with low-resolution brain electromagnetic tomography (LORETA). The aim of this review is to explore the variety of modern techniques with emphasis on the efficacy of LORETA in detecting brain activity patterns in schizophrenia. The study's novelty lies in the comprehensive survey of EEG methods and detailed exploration of LORETA in schizophrenia research. This evaluation aligns with clinical objectives and has been performed for the first time. : The study is split into two sections. Part I examines different EEG methodologies and adjuncts to detail brain activity in deep layers in articles published between 2018 and 2023 in PubMed. Part II focuses on the role of LORETA in investigating structural and functional changes in schizophrenia in studies published between 1999 and 2024 in PubMed. : Combining imaging techniques and EEG provides opportunities for mapping brain activity. Using LORETA, studies of schizophrenia have identified hemispheric asymmetry, especially increased activity in the left hemisphere. Cognitive deficits were associated with decreased activity in the dorsolateral prefrontal cortex and other areas. Comparison of the first episode of schizophrenia and a chronic one may help to classify structural change as a cause or as a consequence of the disorder. Antipsychotic drugs such as olanzapine or clozapine showed a change in P300 source density and increased activity in the delta and theta bands. : Given the relatively low spatial resolution of LORETA, the method offers benefits such as accessibility, high temporal resolution, and the ability to map depth layers, emphasizing the potential of LORETA in monitoring the progression and treatment response in schizophrenia.

摘要

脑电图(EEG)被认为是诊断神经和精神疾病的一种标准但强大的工具。借助现代成像技术,如磁共振成像(MRI)、计算机断层扫描(CT)和脑磁图(MEG),可以改善源定位,特别是使用低分辨率脑电磁断层扫描(LORETA)时。本综述的目的是探讨各种现代技术,重点是LORETA在检测精神分裂症脑活动模式方面的功效。该研究的新颖之处在于对EEG方法进行了全面调查,并对精神分裂症研究中的LORETA进行了详细探索。这种评估符合临床目标,并且是首次进行。:该研究分为两个部分。第一部分研究了2018年至2023年在PubMed上发表的文章中用于详细描述深层脑活动的不同EEG方法及辅助手段。第二部分重点关注1999年至2024年在PubMed上发表的研究中LORETA在研究精神分裂症结构和功能变化方面的作用。:将成像技术与EEG相结合为绘制脑活动提供了机会。使用LORETA,对精神分裂症的研究发现了半球不对称,尤其是左半球活动增加。认知缺陷与背外侧前额叶皮质及其他区域的活动减少有关。比较精神分裂症的首发期和慢性期可能有助于将结构变化归类为该疾病的原因或结果。奥氮平或氯氮平之类的抗精神病药物显示P300源密度发生变化,δ波和θ波活动增加。:鉴于LORETA的空间分辨率相对较低,该方法具有可及性、高时间分辨率以及绘制深度层的能力等优点,强调了LORETA在监测精神分裂症进展和治疗反应方面的潜力。

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